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IMAGING IN INTENSIVE CARE MEDICINE A nasoenteral feeding tube barking up the wrong tree Hafiz Abdul Moiz Fakih, Salim Daouk, Martin Runnstrom, et al. Intensive Care Med DOI 10.1007/s00134-017-4686-3 A 58-year-old woman with multiple co-morbidities, including a history of kidney and pancreas transplant, was admitted to the intensive care unit for management of septic shock. She had a prolonged course and had a small-bore nasoduodenal feeding tube placed under electr...
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IMAGING IN INTENSIVE CARE MEDICINE Quick diagnosis of venous air embolism Shakeer Shaik, Jyoti Burad and Mohamed Al‐Ismaili Intensive Care Med DOI 10.1007/s00134-016-4660-5 A 38-year-old man with idiopathic dilated cardiomyopathy and chronic atrial brillation presented with symptoms of heart failure. He underwent temporary override pacemaker insertion through right femoral access. A few hours later, he developed shock. Central venous (femoral) and arterial ...
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Acquired Hemophilia: Control the Bleeding, Eliminate the Inhibitor Elizabeth DelGiacco, DO; Jessica Katz, MD, PhD  |  February 8, 2017 A 70-year-old man presents with the acute onset of generalized right-arm weakness. He denies experiencing recent trauma or illness. No evidence of acute stroke is seen on computed tomography (CT) of the brain. Over 48 hours, the patient's right upper extremity becomes painful and swollen with visible ecchymosis. He has no personal or...
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Medscape > Fast Five Quizzes Fast Five Quiz: Are You Prepared to Confront Snakebites? Richard H. Sinert, DO Disclosures | January 10, 2017 Most snakebites are innocuous and are delivered by nonvenomous species. North America is home to 25 species of venomous snakes. Worldwide, only about 15% of the more than 3000 species of snakes are considered dangerous to humans. Although death is rare, local complications from envenomation may occur. 蛇咬伤多数为无毒蛇咬伤因而危害不...
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Medscape > Fast Five Quizzes Fast Five Quiz: Are You Prepared to Confront Snakebites? Richard H. Sinert, DO Disclosures | January 10, 2017 Most snakebites are innocuous and are delivered by nonvenomous species. North America is home to 25 species of venomous snakes. Worldwide, only about 15% of the more than 3000 species of snakes are considered dangerous to humans. Although death is rare, local complications from envenomation may occur. 蛇咬伤多数为无毒蛇咬伤因而危害不...
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Medscape > Fast Five Quizzes Fast Five Quiz: Are You Prepared to Confront Snakebites? Richard H. Sinert, DO Disclosures | January 10, 2017 Most snakebites are innocuous and are delivered by nonvenomous species. North America is home to 25 species of venomous snakes. Worldwide, only about 15% of the more than 3000 species of snakes are considered dangerous to humans. Although death is rare, local complications from envenomation may occur. 蛇咬伤多数为无毒蛇咬伤因而危害不...
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Medscape > Fast Five Quizzes Fast Five Quiz: Are You Prepared to Confront Snakebites? Richard H. Sinert, DO Disclosures | January 10, 2017 Most snakebites are innocuous and are delivered by nonvenomous species. North America is home to 25 species of venomous snakes. Worldwide, only about 15% of the more than 3000 species of snakes are considered dangerous to humans. Although death is rare, local complications from envenomation may occur. 蛇咬伤多数为无毒蛇咬伤因而危害不...
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Medscape > Fast Five Quizzes Fast Five Quiz: Are You Prepared to Confront Snakebites? Richard H. Sinert, DO Disclosures | January 10, 2017 Most snakebites are innocuous and are delivered by nonvenomous species. North America is home to 25 species of venomous snakes. Worldwide, only about 15% of the more than 3000 species of snakes are considered dangerous to humans. Although death is rare, local complications from envenomation may occur. 蛇咬伤多数为无毒蛇咬伤因而危害不...
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Medscape > Fast Five Quizzes Fast Five Quiz: Are You Prepared to Confront Snakebites? Richard H. Sinert, DO Disclosures | January 10, 2017 Most snakebites are innocuous and are delivered by nonvenomous species. North America is home to 25 species of venomous snakes. Worldwide, only about 15% of the more than 3000 species of snakes are considered dangerous to humans. Although death is rare, local complications from envenomation may occur. 蛇咬伤多数为无毒蛇咬伤因而危害...
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Images in Clinical Medicine Acute Rheumatic Fever with Erythema Marginatum Makoto Saito, Shuji Hatakeyama N Engl J Med 2016; 375: 2480 DOI: 10.1056/NEJMicm1601782 A previously healthy 36-year-old man presented with a 1-month history of fever and pain in both shoulders and knees, which had been preceded by a sore throat 2 weeks before the onset of fever. Laboratory studies were notable for a white-cell count of 13,800 per cubic millimeter (85% neutrophils), a C-r...
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